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245 NE 93 St (9)Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1 °' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STA • FLOR ►j', AUNTY OF MIAMI -DADE Signature of Notary Public - State of Florida STATE OF FLORID A, COD Signature of Owner - Signature of Contractor Print Name Print Name Sworn to and subscribed before me this day of SEAL: SEAL: Sworn to and subscribed before me this Signature of Notary Public - State of Florida PERMIT APPLICATION IAMI -DADE day of Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: CONTRACTOR New Construction Name / e 1W (1 7x... License No. Q.1 e A. s i q B Address 4 6 AL 10 2.2€ Telephone Fax Qualifier Name .� CttA , A l ° o 1 I 4 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Job Address: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICA'I'ION Folio Number Lot Block Subdivision PB PG Zoning Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work 3/Dr) n �� l) Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 14 IQ-L. 1. Address Apt. City Description of Work A / PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER Name Address Home Telephone Business Telephone Fax Tax Assessed/Appraised Value PERMIT APPLICATION Master Permit No. Subsidiary Permit No. e fr (919a,) ' 0.9 State Zip Linear Feet Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Printed: 10 /10/2002 v Applicant: CRISTINA Vo - Owner: PERALTA JOB ADDRESS: 245 NE 93 Contractor BLUE BREEZE AC Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Local Phone: 305 - 865 -1220 Parcel # 1132060133660 Permit Status: Approved Permit Expiration: 4/7/2003 Work: AC CHANGE OUT Signed• Signed: // - .41.-Zil Electrical Permit Permit Number: EL2002 -329 PERALTA CRISTINA ST Contractor's Address: 736 NW 107 ST Construction Value: $300.00 Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & BEG AT SW COR -s( 6o_ 00 6 o.o Total Fees: Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. NSPECTOR) BY: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, stat ments or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants' a .I. yes. (Contractor or Builder) BY: PAY TO THE ORDER OF Memo BLUE BREEZE AIR CONDITIONING 210 71ST ST. SUITE 301 MIAMI BEACH, FLORIDA 33141 (305) 865 -1220 O e BANK OF AMERICA 63- 27/631 1:063100 2771: 00366069655011' 4849 4849 -6 8 Da 40/ 1 $('ii,L �. 1@ _ DOLLARS _m 8 AMP Size ADDRESS: ARM Size Circuit Breaker Panel Miami Shores Village AIR CONDITIONING EQUIPMENT EXACT CHANGE OUT AFFIDAVIT FORM ALL INFORMATION MUST BE FILLED IN ACCURATELY. THE FOLLOWING INFORMATION REPRESENTS THE EXISTING CONDITIONS: ABU Crcuit Breaker CU Circuit Fir esker Branch Circuit Wlre Size Branch Circuit Wire AMP Size Air Handler Disconnect AMP Size Condenser Unit Discranned Disconnect Mounting Location information: Mounted on AHU unit? Yes X No Above Base Flood Level? Yes Se No Clear workspace 30" wide & 36" front? Yes A No Mounted on GU unit:" Yes No k Above Base Flood Level? Yes X No , Clear workspace 30" wide & 36" front? Yes k No Low voltage thermostat wiring is installed in a separate raceway from the power wiring? Yes_A_ No THE FOLLOWING REPRESENTS THE NEW EQUWMENT: NAME PLATE INFORMATION: ANEW AIR HANDLER UNIT _:_ -_ -_ _ —NEW ______NEW CONDENSER UNIT — MINIMUM CIRCUIT AMPACITY? y 5 , MINIMUM CIRCUIT AMPACITY? 1s . MAXIMUM OVER CURRENT SIZE? 55 . MAXIMUM OVER CURRENT STP? 2> . ELECTRIC HEATER KW SIZE? I as qualifying agent for the air conditioning equipment installation at the above address location hereby attest: The above information provided for the existing electrical conditions and the nameplate information provided for the new equipment is accurate and truthful. Company Name Qualifier Name Qualifier StE1 ‘k 4 \ ANdS 1 4 Notary Required nature The Sunshine State UCB T620-550-72-050-0 MATIAS JOSE TORROCJA 112k SW MOM MIAMI, FL 33144-2319 EURTH DATE SEX *TT. REST. ENDORSE. 02-10-72 M 6.08 ISSUED EXPIRES 02-19-99 02-10-03 oueucATE 04-21-99 0315 t Opersdlon of • motor vehicle constitutes consent to any sobriety test required by law ELECTRICAL TYPE, Minimum Fee Q"1'1'. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. T1PE. Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton L. Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Conunercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL 'I yPl Minimum Fee QTY TY Condensate Drain QTY TYPE Generator QTY TYPE Refrigeration, Tons VI A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well . Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical /�G Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary REVIEWED AND PREPARED BY: ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES C i (X .ft. = x/1000 (¢.005 /sq.ft.) (¢.01 /s q.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 0, (9 b DATE: / ‘ CONDITION OE APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Date Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 5 Job Address &; jar 73 ` 7 Owner / Lessee / Tenant JG rZ . 1/c Owner's Address o Ai r "5 1 7 // Phone Contracting Co. .6 4 ;, Address .%0 A ..33 Qualifier State 4k,A0 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one): BUI�%� G : ECTR i PLi :.' G MECHANICAL ROOFING PAVING FENCE SIGN ION �� 4 �WORK DESCRIPT _ 1_� �. Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructi• an zoning. Furthermore, I aut .•rize he above -na contractor to do the work stated. gnat e of own and /or Condo President Date: . :01''Y * `•'•r OFaCIAL SEAL `•� k "" LI • h BLES S�N / may, . V. ;,. rsi• Expires Notary as c ' � rbd /o m 1 ri�`� 9 Ag,o.dent My Commissidtnp$i`es . 4 TE F,..4 omm. & APPROVED: Zoning /0 lap)/ * * * FEES: PERMIT 4i W RADON Address Signature „$ontrac Date: * . ".a`ra. AJV Notary n ; try, Mechanical Plumbing Tax Folio / Jc i/ Master Permit #1'7d e& Phone e37S' / L - Builder f y'! ,. 'xpires • rlv8.�c r 4 ' g�5 uilder * * * * * C.C.F. `� NOTARY TOTAL DUES - Fire Other Buildin * * * * Engineering ® SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES No. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 04 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date / l_Z v 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer / r I Employing Electrician's Name eg/ , V l� c Terc N P. 0• ,o Jr -104- tre /�/4 -A— P /,.- 330/ 2 Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No .2 z-/S ef.,' C' Street...q '3 y 5 r' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ 3 . 0 , 0 a ,C'4'. LL Noc. 7 Z- Street.. 3 MIAMI SHORES VILLAGE Repairs No. of Stories (Signed) , Ele rival I sp clot. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Notary Public, State of Florida Muter Electrician. STATE OF FLORIDA, } COUNTY OF DADE. se. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facto therein by him stated are true. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. L_ JR BUSINESS ADDRESS 6581 W 8 A V ENINfiC9PAL COE ACTOR'S 0.CC UPAIIMAL LICf MSC 044892 8 DUE 1983 EXPIRES 1981 ACCT. NO. OCT. 1ST SEPT. 30 THIS LICENSE VALID ONLY IN THIS LICENSE ISSUED IN PURSUANCE OF METROPOLITAN DADE COUNTY ORDINANCE - 66.2 MUNICIPALITIES LISTED BELOW: DADE COUNTY 0 4 1 R $t H ELECTRIC: LNC - ROBERTO RUIZ.. 6581. W 8 AVE HIALEAH FL 33012 IS HEREBY LICENSED AND AUTHORIZED TO 00 BUSINESS; • AS A CONTRACTOR. A,S SPEICIFIED HEFEON. 2 D21.2' 2 8 S E :8.3 SIGNATURE STATE NUMBER CERT. OF'COMPETENCY" 1 0812. TYPE OF CONTRACTOR ADM- CATEGORIES 2 0 0 4 : a. TOTAL AMOUNT 2 0. 0 . 04 PAYMENT RECEIVED AB; CERTIFIED ABOVE - DADE COUNTY TAX COLLECTOR. MIAMI, FLORIDA. STATE OF FLORIDA 3epartment ofrufessiunal 3Regulatian" ELECTRICAL CONTRACTORS LICENSING BOARD ULZi ROBERT j INDIVIDUAL MUST MET ALL'LOCAL OMPETENCT REQUIREMENTS PRIOR TO ONTRACTING IN ANy AREA) HAS PAID THE FEE REQUIRED BY CHAPTER 489 FOR YEAR UtVL 30t 1984 ELECTRICAL PLEASE READ IMPORTANT /f�.fp `iai, "�ti,��`NPORM ATION ON REVERSE SECRE OF PRpSSI GO.Eh.O. REGULAtION FE \WALLET CARD —FOLD HERE) ELECTRICAL CONTRACTOR LICENSING HOARD 1 NORTH MONROE STREET TALLAHASSEE. FL 32301 AUDIT CONTROL P10. 140824 FILE NO. ER000u305 BATCH NO. u12o FEE AMOUNT 1 20.00 AMOUNT 200.00 LICENSEE MUST REGISTER IN CITY WHERE WORK IS DONE. BAI, HARBOUR BAY HARBOR ISLANDS BISCAYNE PARK CORAL GABLES EL PORTAL FLORIDA CITY GOLDEN BEACH HIALEAH GARDENS HOMESTEAD ISLANDIA MEDLEY MIAMI MIAMI BEACH MIAMI SHORES MIAMI SPRINGS NORTH BAY VILLAGE NORTH MIAMI NORTH MIAMI BEACH OPA LOCKA PENMSUCO SOL 4 MIAMI SURFSIDE SWEETWATER. VIRGINIA GARDENS WEST MIAMI , fate Earm Insurance Compar es NOTICED .1.RAYMENTtD PRIOR BILLING R S H ELECTRIC INC DUE DECEMBER 22, 1983 0124 ACCOUNT NUMBER 182 543 22 PAYMENTS $293. ?2 PAST DUE AMOUNT POLICY BALANCE 461.24 616.34 - 3.04 - 3.04 ACCOUNT BALANCE 41,071.50 $46.12 61.63 2.25 -3.04 -3.04 INITIAL PAYMENT REQUIRED PAYMENT RECEIVED • THANK YOU LIABILITY 98- 46•E595 -6 PREMIUM FOR COVERAGE MORE THAN WAS ESTIMATED '- SERVICE CHARGE 78 CHEV S613 195 E22 59 POLICY REMOVED AT THE REQUEST OF THE COMPANY 70 FORD S613 196 E22 59 POLICY REMOVED AT THE REQUEST OF THE COMPANY DATE PREPARED DEC. 09, 1983 4 P io° " $293.78 293.72 PROPERTY AND CASUALTY INSURANCE - TWELVE MONTH POLICY TERM WORKERS COMPENSATION /84/ 98 -46- 8596-8 PREMIUM FOR COVERAGE LESS THAN WAS ESTIMATED Permit No Amount of Permit $ Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot ° Block 88. Street and Number where work is to be performed —No .S� (Signed) MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT t, 4• APPLICATION FOR ELECTRICAL PERMIT Date No 70 // Subdivision Street...,/ Street Application is hereby made for the approval of the detailed statement of the plans and specifications herewith &tt itted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein s cified or not. A copy of approved plans and specifications must be kept at building during progress of work. Street State work to be perform and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) dam- `. .r. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F. • < , Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub v, ractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, ,,n ork to be performed under Is/pe as are licensed by Miami Shores Village. Master El ctrician. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. "ACE ATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE / PERM. / / / MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST _ � / d Q ��. - �� .... . �! / \ " CHECK Permit No Amount of Permit $ Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot ° Block 88. Street and Number where work is to be performed —No .S� (Signed) MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT t, 4• APPLICATION FOR ELECTRICAL PERMIT Date No 70 // Subdivision Street...,/ Street Application is hereby made for the approval of the detailed statement of the plans and specifications herewith &tt itted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein s cified or not. A copy of approved plans and specifications must be kept at building during progress of work. Street State work to be perform and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) dam- `. .r. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of F. • < , Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub v, ractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, ,,n ork to be performed under Is/pe as are licensed by Miami Shores Village. Master El ctrician. STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. M IAMI SHORES VILLAGE, FLA. No JOB ADDRESS S - INSPECTION TIME READY & - 4' C� f REMARKS: -X7 INSPECTOR DATE 2102 APPLICATION FOR ELECTRICAL PERMIT Permit No / 1(74 / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE I 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 1 No Street Service Overhead Size Feeders Conduit Main Sw Underground No / 6 4/4 Street Subdivision Block Street and Number where w rk is to be performed —No ` Street / • E J4� r State work to be perfor d and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) (Signed) Date The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, pn work to licensed by Miami Shores Village. l� �d. Electrical Inspector. ccepts Kis / obligations as an employer of of orida Permanent Supplement, and su • conractors employed by him in the o the work such public notice or notices be performed under Ia it, as are ter Elfctrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $I.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'7'S / h i 6 � FIXTURES NO. LAMPS 7/ )- REFRIO. OUTLET / IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER 1 W. HEAT. CONN. / $PACE H ATER STRIP HEATER TOTAL CONTR. LIST / l'17Z CHECK • ENT. SW. DI8T. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL. CONTR. LIST �( / e° p� / CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No / 1(74 / Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE I 88. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 1 No Street Service Overhead Size Feeders Conduit Main Sw Underground No / 6 4/4 Street Subdivision Block Street and Number where w rk is to be performed —No ` Street / • E J4� r State work to be perfor d and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amps Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) (Signed) Date The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such subcontractors, pn work to licensed by Miami Shores Village. l� �d. Electrical Inspector. ccepts Kis / obligations as an employer of of orida Permanent Supplement, and su • conractors employed by him in the o the work such public notice or notices be performed under Ia it, as are ter Elfctrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $I.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Mr. Bradford m - -- Breakdown for this house 89 outlets 22 lamps 1 refrigerator 1 H. W. H. and connection 150 amper service 1 3—ton A. C. 2 hoed fans ) 1 dishwasher 1 pump 1 washer ) @.20 17.80 2.80 1.00 3.00 3.00 2.00 1 classified them as motors . ( 5 ) 5.00 $ 34.00